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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ICU MEDICAL MANUFACTURING S.A. DE C.V. PORTEX TRACHEAL TUBE CLEAR MURPHEY EYESOFT SEAL; TUBE, TRACHEAL (W/WO CONNECTOR)

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ICU MEDICAL MANUFACTURING S.A. DE C.V. PORTEX TRACHEAL TUBE CLEAR MURPHEY EYESOFT SEAL; TUBE, TRACHEAL (W/WO CONNECTOR) Back to Search Results
Catalog Number 100/199/080
Medical Device Problem Codes Inflation Problem (1310); Gas/Air Leak (2946); Material Split, Cut or Torn (4008)
Health Effect - Clinical Code Unspecified Respiratory Problem (4464)
Date of Event 01/06/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Investigation including root cause analysis is in progress.A supplemental mdr will be filed as necessary in accordance with 21 cfr 803.56 when additional information becomes available.
 
Event or Problem Description
It was reported that there was an inability to inflate the balloon, as it was perforated and does not retain air.Reporter stated that the product defect was identified just after initial use, and the balloon did not inflate.Per reporter, there was no identification of a problem before the introduction of the device.Per reporter, the patient was re-intubated with a new endotracheal tube to stabilize the patient, as the patient was unstable as the result of respiratory distress.The patient remained in intensive care as the result of the respiratory issues.The customer alleged that the balloon was punctured, resulting in the inability for the balloon to swell upon intubation.
 
Additional Manufacturer Narrative
Device evaluation: one used device was received for device analysis.Service history review identified the complaint was not related to a previous service of the device within the review period.Functional testing and visual inspection performed during analysis.The customer reported complaint was confirmed, the cuff would not inflate.The probable cause is that there was a welding error during manufacturing.The device was discarded.
 
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Brand Name
PORTEX TRACHEAL TUBE CLEAR MURPHEY EYESOFT SEAL
Common Device Name
TUBE, TRACHEAL (W/WO CONNECTOR)
Manufacturer (Section D)
ICU MEDICAL MANUFACTURING S.A. DE C.V.
ave calidad no. 4, parque
tijuana
MX 
Manufacturer Contact
reed covert
6000 nathan lane north
minneapolis, MN 55442
2247062300
MDR Report Key24208577
Report Number3012307300-2026-00676
Device Sequence Number15859314
Product Code BTR
UDI-Device Identifier15019315022340
UDI-Public(01)15019315022340(17)300627(10)6121811
Combination Product (Y/N)N
Initial Reporter CountryFR
PMA/510(K) Number
UNKNOWN
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional
Initial Reporter Occupation Pharmacist
Type of Report Initial,Followup
Report Date (Section B) 03/31/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Catalogue Number100/199/080
Device Lot Number6121811
Was Device Available for Evaluation? Yes
Date Returned to Manufacturer01/27/2026
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 01/06/2026
Supplement Date Received by Manufacturer03/10/2026
Initial Report FDA Received Date01/29/2026
Supplement Report FDA Received Date03/31/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured07/10/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient Age75 YR
Patient SexMale
Patient Weight90 KG
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